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Alexanders Vari Simplex Discipline
Alexanders Vari Simplex Discipline
[ALEXANDER DISCIPLINE]
• .022 Slot.
• Headgear.
RETRACTOR.
• Non extraction
Tweed concept
and
Contemporary developments
QUALITY RESULTS
Key Objective
Patient records
.
Cephalometrics , patient
examination
Treatment planning
Financial records
I.Patient history
I. Patient examination.
II. Diagnostic records.
1) Intra oral and Panoramic radiographs.
2)Study models.
3)Facial photographs
4)Cephalometric Analysis.
a) General skeletal pattern.
b)Tooth position.
Critical Factor in diagnosis
Lower Incisor Position.
1.Incisor mandibular plane angle.
2.Holdaway Ratio.
• Pretorqued
• Preangulated
• Built in In / Out
2. Accessibility.
TWIN BRACKETS
• Large ,flat surfaced teeth.
• Mini Diamond brackets.
• Accessibility
• Additional hooks .
•Inter bracket distance.
•Patient comfort.
Dr.Howard Lang
Wedge shaped in
profile
LEWIS BRACKETS
curvature
LEWIS BRACKETS
• Wedge shaped in profile
Activation
OTHER ATTACHMENTS
•Ball hooks .
OTHER ATTACHMENTS
molar.
• Lingual hooks on all molar bands.
DIAMOND BRACKET
VERTICAL LINES PARALLEL TO THE
LONG AXIS OF THE TOOTH
1 st Bicuspid Extraction
Dr Dwayne Trammell
BAYLOR UNIVERSITY
• 2 mm of arch length
BRACKET TORQUE DEVELOPED
Sagittal
Control Vertical
Transverse
Skeletal Dental
Three different type of retractors
1. Cervical traction
Adjustments in six
directions
• Bucco-lingually
• Superio- inferiorly
• Anterio - posteriorly
3. Outer bow
• 4. Retractor system
Retractor force
• 8 ounces
• 16 ounces
Time worn
Depending on severity of A-P discrepancy
• ANB – 3 7-8 HOURS
• ANB – 3- 5 10 HOURS
• ANB - > 10 14 HOURS
W with tail
• Head gear • Coil springs
elastics
½ “, 140z
Non-Extraction Treatment
Photographs
Learning Experiences
Case Record
BORDERLINE CASES
OPEN BITE
• Bracket positioning.
• Extra oral forces
Extraction Treatment
•25 percent*
Indications:
maxillary canines .
erupt.
STANDARD CLASS II DIV 1
MAXILLA
Initial wire -
0.0175 Respond multistranded
or 0.017” –0.025”D-Rect rectangular
braided arch wire
Second archwire- Canine retraction.
0.016 ss round with omega stops .
0.016 –0.022ss closing loop arch wire .
Third archwire -
• Incisor retraction.
• 0.017-0.025 ss wire.
MANDIBLE:
4 to 6 months of Driftodontics
Initial wire
Multi-stranded .0175 respond.
or 0.016 Ni-ti
or 0.017 –0.025 D-rect.
Second wire
0.016 ss wire .
Third archwire
• 0.016-0.022ss closing loop archwire.
¾” ,2 oz
Retainer design and fabrication
PRINCIPLES OF THE
ALEXANDER DISCIPLINE
1. ‘AS A MAN THINKETH’
JAMES ALLEN
EFFORTS = RESULTS
2. Dr .Hans Selye ‘Altruistic Egoism’
3. KISS Principle .
7.Bracket positioning.
force system .
10.Consolidate arches.